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Methodist Hospitals of Dallas · VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC
$5,962.88
Source file dated 2026-03-21 · inpatient
Source note: Re-evaluated: HLB.56182081; Using historical claim(s); Scope: All Financial Classes; Cases: 550; Inpatient DRG; FSC: XR MC DRG WEIGHTS, Value: 0.67, and; Pricing Extension - HB XR PRC MOLINA MEDICARE IP PPS FY20; Note: Base payment: $7,096.52; Percentage applied: 105.00%; Total: $7,451.35; Estimated Allowed Amount: 7451.35
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